Health
Plans and Payers

The professionals at Jimenez Consulting Solutions (JCS) understand
that payers are going through an unprecedented transformation. Whether
they are dealing with the impact of the Federally-Facilitated
Marketplace (FFM), state-based exchanges, continually evolving
regulatory changes, or the impending effects of the Medicare Access &
CHIP Reauthorization Act of 2015 (MACRA), the impacts - and challenges -
are significant.

Our experienced consultants understand the challenges facing
healthcare payers today and have the expertise to assist them in:

Providing value while containing costs

Leveraging innovation as a market differentiator

Staying ahead of complex federal and state regulations

Responding to public scrutiny and demand for transparency

Modernizing legacy IT

Effectively managing covered populations

Our professionals have worked with large for-profit health plans that
operate in every state, government payers, and small local plans to
design and implement programs and technologies to address their critical
needs and challenges.